KIRSTINA JESSICA GRATZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

Title

DDS

First Name

KIRSTINA

Middle

JESSICA

Last Name

GRATZ

Business Name

KIRSTINA JESSICA GRATZ DDS

Original Issue Date

10/22/2019

Effective Date

10/22/2019

Expiration Date

01/31/2022

City

MIDDLEBURY

State

Zip

46540

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022